{T "content","head",TPLID}




<!--路径导航-->
<div style="background: #f5f5f5; border-bottom: 1px solid #ddd">
    <div class="container">
        <ol class="breadcrumb" style="margin-bottom: 0px; font-size: 12px;">
            您现在的位置：
            <li><a href="index.php">首页</a></li>
            <li class="active"><a href="index.php?m=feedback">问题反馈</a></li>
        </ol>
    </div>
</div>





<div class="container">
    <div class="liuyan-form-title">
        <div class="lft-left">
            <a href=""><span class="glyphicon glyphicon-list-alt" aria-hidden="true" style="top: 3px;"></span> 我要反馈</a>
        </div>
    </div>
    <br>

    <form action="index.php?m=feedback&f=index&v=contact" method="post">
        <div  class="form-inline" style="margin-bottom: 15px;">
            <div class="form-group">
                <label for="exampleInputName2">举报类型<span class="color_danger">*</span></label>
                <input type="radio" name="form[typeid]" class="form-control" value="1" checked> 抄袭举报
                <input type="radio" name="form[typeid]" class="form-control" value="2"> 漏错误举报
            </div>
            <div class="form-group">
                <label for="exampleInputName2">姓名<span class="color_danger">*</span></label>
                <input type="text" name="form[linkman]" class="form-control" id="exampleInputName2" placeholder="姓名" required>
            </div>
            <div class="form-group" style="margin-right: 100px;"></div>
            <div class="form-group">
                <label for="exampleInputEmail2">联系邮箱 <span class="color_danger">*</span></label>
                <input type="email" name="form[email]" class="form-control" id="exampleInputEmail2" placeholder="xxx@xxx.com" required>
            </div>


        </div>


        <div class="form-box">
            <div class="row">


                <div class="col-md-12">
                    <textarea name="form[content]" class="form-control" rows="10" placeholder="请详细的输入反馈问题" required></textarea>
                </div>

            </div>
        </div>
        <br>

        <div class=" form-inline text-center" >
            <input type="hidden" name="form[forward]" value="{$forward}">
            <button type="submit" name="submit" class="btn btn-warning  btn-lg" >&nbsp;&nbsp;&nbsp;提交&nbsp;&nbsp;&nbsp;</button>
        </div>

    </form>

</div>


{T "content","foot",TPLID}
